Sorry, I had my tongue in my cheek Matt.
cheers
Craig
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Dunn Matthew Dr. (RJC)
A & E - SwarkHosp-TR
Sent: Monday, 18 May 2009 7:45 PM
To: [log in to unmask]
Subject: Re: League Tables for Emergency Medicine Consultants
> I suggest who has the least 4 hr breeches while they the
> on-duty/on-call consultant !!!!!
>
A possible one. A similar one might be mortality of patients admitted on
the on call day of each consultant. Either of these work only if there
is a random element to it: most departments will find some days of the
week regularly have a higher patient: staff ratio than others (but not
high enough in any given hour that it can usefully be addressed by
shifting staff around). I'd also expect mortality to differ
significantly between patients admitted on a Sunday, Monday and
Wednesday (not sure how it differs, but I'm pretty sure there's a
difference in there).
Be aware that once an indicator becomes a bench mark it ceases to
function as an indicator.
The other issue I have is that I'm not sure that a league table really
works in an individual department. Leagues tend to be good at comparing
the performance of different competing teams. This makes them singularly
poor at fostering cooperative work within a team.
Matt Dunn
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